Abstract
Purpose
To examine the effect of carbohydrate (CHO) mouth rinsing on endurance running responses and performance in dehydrated individuals.
Methods
In a double blind, randomised crossover design, 12 well-trained male runners completed 4 running time to exhaustion (TTE) trials at a speed equivalent to 70% of VO2peak in a thermoneutral condition. Throughout each run, participants mouth rinsed and expectorated every 15 min either 25 mL of 6% CHO or a placebo (PLA) solution for 10 s. The four TTEs consisted of two trials in the euhydrated (EU-CHO and EU-PLA) and two trials in the dehydrated (DY-CHO and DY-PLA) state. Prior to each TTE run, participants were dehydrated via exercise and allowed a passive rest period during which they were fed and either rehydrated equivalent to their body mass deficit (i.e., EU trials) or ingested only 50 mL of water (DY trials).
Results
CHO mouth rinsing significantly improved TTE performance in the DY compared to the EU trials (78.2 ± 4.3 vs. 76.9 ± 3.8 min, P = 0.02). The arousal level of the runners was significantly higher in the DY compared to the EU trials (P = 0.02). There was no significant difference among trials in heart rate, plasma glucose and lactate, and psychological measures.
Conclusions
CHO mouth rinsing enhanced running performance significantly more when participants were dehydrated vs. euhydrated due to the greater sensitivity of oral receptors related to thirst and central mediated activation. These results show that level of dehydration alters the effect of brain perception with presence of CHO.
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Abbreviations
- CHO:
-
Carbohydrate
- PLA:
-
Placebo
- TTE:
-
Time to exhaustion
- EU:
-
Euhydration
- DY:
-
Dehydration
- VO2peak :
-
Maximal aerobic power
- VO2 :
-
Volume of oxygen
- \({{\rm VCO}_ 2}\) :
-
Volume of carbon dioxide
- HR:
-
Heart rate
- EID:
-
Exercise induced dehydration
- USG:
-
Urine specific gravity
- RH:
-
Relative humidity
- VAS:
-
Visual analogue scale
- FAS:
-
Perceived activation scale
- FS:
-
Feeling scale
- GI:
-
Gastrointestinal
- RER:
-
Respiratory exchange ratio
- RPE:
-
Rating of perceived exertion
- T sk :
-
Skin temperature
- T re :
-
Rectal temperature
- fMRI:
-
Functional magnetic resonance imagery
References
Armstrong LE, Hubbard RW, Jones BH, Daniels JT (1986) Preparing Alberto Salazar for the heat of the 1984 olympic marathon. Physician Sports Med 14:73–81. https://doi.org/10.1080/00913847.1986.11709011
Arnaoutis G, Kavouras SA, Christaki I, Sidossis LS (2012) Water ingestion improves performance compared with mouth rinse in dehydrated subjects. Med Sci Sports Exerc 44:175–179. https://doi.org/10.1249/MSS.0b013e3182285776
Backhouse SH, Bishop NC, Biddle SJ, Williams C (2005) Effect of carbohydrate and prolonged exercise on affect and perceived exertion. Med Sci Sports Exerc 37:1768–1773
Backhouse SH, Ali A, Biddle SJ, Williams C (2007) Carbohydrate ingestion during prolonged high-intensity intermittent exercise: impact on affect and perceived exertion. Scand J Med Sci Sports 17:605–610. https://doi.org/10.1111/j.1600-0838.2006.00613.x
Bastos-Silva VJ, Melo Ade A, Lima-Silva AE et al (2016) Carbohydrate mouth rinse maintains muscle electromyographic activity and increases time to exhaustion during moderate but not high-intensity cycling exercise. Nutrients. https://doi.org/10.3390/nu8030049
Beis LY, Wright-Whyte M, Fudge B et al (2012) Drinking behaviors of elite male runners during marathon competition. Clin J Sport Med 22:254–261. https://doi.org/10.1097/JSM.0b013e31824a55d7
Berkulo MA, Bol S, Levels K et al (2016) Ad-libitum drinking and performance during a 40-km cycling time trial in the heat. Eur J Sport Sci 16:213–220. https://doi.org/10.1080/17461391.2015.1009495
Borg GA (1982) Psychophysical bases of perceived exertion. Med Sci Sports Exerc 14:377–381
Burdon CA, Johnson NA, Chapman PG, Che Muhamed AM, O’Connor HT (2013) Case study: beverage temperature at aid stations during ironman triathlon. Int J Sport Nutr Exerc Metab 23(4):418–424. https://doi.org/10.1123/ijnem.23.4.418
Carter JM, Jeukendrup AE, Jones DA (2004) The effect of carbohydrate mouth rinse on 1-h cycle time trial performance. Med Sci Sports Exerc 36:2107–2111
Carter JM, Jeukendrup AE, Mann CH, Jones DA (2004) The effect of glucose infusion on glucose kinetics during a 1-h time trial. Med Sci Sports Exerc 36:1543–1550
Casa DJ, Stearns RL, Lopez RM et al (2010) Influence of hydration on physiological function and performance during trail running in the heat. J Athl Train 45:147–156. https://doi.org/10.4085/1062-6050-45.2.147
Chambers ES, Bridge MW, Jones DA (2009) Carbohydrate sensing in the human mouth: effects on exercise performance and brain activity. J Physiol 587:1779–1794. https://doi.org/10.1113/jphysiol.2008.164285
Che Muhamed AM, Mohamed NG, Ismail N, Aziz AR, Singh R (2014) Mouth rinsing improves cycling endurance performance during Ramadan fasting in a hot humid environment. Appl Physiol Nutr Metab 39(4):458–464. https://doi.org/10.1139/apnm-2013-0276
Cohen J (1992) A power primer. Psychol Bull 112:155–159
Costill DL, Kammer WF, Fisher A (1970) Fluid ingestion during distance running. Arch Environ Health 21:520–525
Coyle EF, Hagberg JM, Hurley BF et al (1983) Carbohydrate feeding during prolonged strenuous exercise can delay fatigue. J Appl Physiol Respir Environ Exerc Physiol 55:230–235
de Araujo IE, Kringelbach ML, Rolls ET, McGlone F (2003) Human cortical responses to water in the mouth, and the effects of thirst. J Neurophysiol 90:1865–1876. https://doi.org/10.1152/jn.00297.2003
Dion T, Savoie FA, Asselin A et al (2013) Half-marathon running performance is not improved by a rate of fluid intake above that dictated by thirst sensation in trained distance runners. Eur J Appl Physiol 113:3011–3020. https://doi.org/10.1007/s00421-013-2730-8
Duckworth LC, Backhouse SH, Stevenson EJ (2013) The effect of galactose ingestion on affect and perceived exertion in recreationally active females. Appetite 71:252–258. https://doi.org/10.1016/j.appet.2013.08.009
Dupont WD, Plummer WD Jr (1990) Power and sample size calculations. A review and computer program. Control Clin Trials 11:116–128
Fares EJ, Kayser B (2011) Carbohydrate mouth rinse effects on exercise capacity in pre- and postprandial States. J Nutr Metab 2011:385962. https://doi.org/10.1155/2011/385962
Figaro MK, Mack GW (1997) Regulation of fluid intake in dehydrated humans: role of oropharyngeal stimulation. Am J Physiol 272:R1740–R1746
Fraga C, Velasques B, Koch AJ et al (2015) Carbohydrate mouth rinse enhances time to exhaustion during treadmill exercise. Clin Physiol Funct Imaging 37:17–22. https://doi.org/10.1111/cpf.12261
Frank GK, Oberndorfer TA, Simmons AN et al (2008) Sucrose activates human taste pathways differently from artificial sweetener. Neuroimage 39:1559–1569. https://doi.org/10.1016/j.neuroimage.2007.10.061
Fudge BW, Pitsiladis Y, Kingsmore D et al (2012) Chapter 5—outstanding performance despite low fluid intake: the Kenyan running experience. Routledge Online Stud Olymp Paralympic Games 1:63–84. https://doi.org/10.4324/9780203099346_chapter_5
Garber CE, Blissmer B, Deschenes MR et al (2011) American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 43:1334–1359. https://doi.org/10.1249/MSS.0b013e318213fefb
Hardy CJ, Rejeski WJ (1989) Not what, but how one feels: the measurement of affect during exercise. J Sport Exerc Psychol 11:304–317
Hawkins KR, Krishnan S, Ringos L et al (2017) Running Performance With Nutritive and Nonnutritive Sweetened Mouth Rinses. Int J Sports Physiol Perform 12:1105–1110. https://doi.org/10.1123/ijspp.2016-0577
Hopkins WG, Schabort EJ, Hawley JA (2001) Reliability of power in physical performance tests. Sports Med 31:211–234
James RM, Ritchie S, Rollo I, James LJ (2017) No dose response effect of carbohydrate mouth rinse on cycling time-trial performance. Int J Sport Nutr Exerc Metab 27:25–31. https://doi.org/10.1123/ijsnem.2016-0111
Jeukendrup AE (2011) Nutrition for endurance sports: marathon, triathlon, and road cycling. J Sports Sci 29(Suppl 1):S91–S99. https://doi.org/10.1080/02640414.2011.610348
Jeukendrup A, Saris WH, Brouns F, Kester AD (1996) A new validated endurance performance test. Med Sci Sports Exerc 28:266–270
Jeukendrup Hopkins S, Aragon-Vargas LF, Hulston C (2008) No effect of carbohydrate feeding on 16 km cycling time trial performance. Eur J Appl Physiol 104:831–837. https://doi.org/10.1007/s00421-008-0838-z
Kenefick RW (2018) Drinking strategies: planned drinking versus drinking to thirst. Sports Med (Auckland, NZ) 48:31–37. https://doi.org/10.1007/s40279-017-0844-6
Lane SC, Bird SR, Burke LM, Hawley JA (2013) Effect of a carbohydrate mouth rinse on simulated cycling time-trial performance commenced in a fed or fasted state. Appl Physiol Nutr Metab 38:134–139. https://doi.org/10.1139/apnm-2012-0300
Magee PJ, Gallagher AM, McCormack JM (2017) High prevalence of dehydration and inadequate nutritional knowledge among university and club level athletes. Int J Sport Nutr Exerc Metab 27:158–168. https://doi.org/10.1123/ijsnem.2016-0053
Maughan RJ, Meyer NL (2013) Hydration during intense exercise training. Nestle Nutr Inst Workshop Ser 76:25–37. https://doi.org/10.1159/000350225
Montain SJ, Coyle EF (1992) Influence of graded dehydration on hyperthermia and cardiovascular drift during exercise. J Appl Physiol (1985) 73:1340–1350
Montain SJ, Latzka WA, Sawka MN (1995) Control of thermoregulatory sweating is altered by hydration level and exercise intensity. J Appl Physiol (1985) 79:1434–1439
Noakes TD (1995) Dehydration during exercise: what are the real dangers? Clin J Sport Med 5:123–128
Noakes T (2003) Lore of running. Human Kinetics, Champaign
Noakes TD (2010) Is drinking to thirst optimum? Ann Nutr Metab 57(Suppl 2):9–17. https://doi.org/10.1159/000322697
Peters HP, Wiersma JW, Koerselman J et al (2000) The effect of a sports drink on gastroesophageal reflux during a run-bike-run test. Int J Sports Med 21:65–70. https://doi.org/10.1055/s-2000-8858
Racinais S, Alonso JM, Coutts AJ et al (2015) Consensus recommendations on training and competing in the heat. Br J Sports Med. https://doi.org/10.1136/bjsports-2015-094915
Ramanathan NL (1964) A new weighting system for mean surface temperature of the human body. J Appl Physiol 19:531–533
Rauch HG, St Clair Gibson A, Lambert EV, Noakes TD (2005) A signalling role for muscle glycogen in the regulation of pace during prolonged exercise. Br J Sports Med 39:34–38. https://doi.org/10.1136/bjsm.2003.010645
Rollo I, Williams C (2011) Effect of mouth-rinsing carbohydrate solutions on endurance performance. Sports Med 41:449–461. https://doi.org/10.2165/11588730-000000000-00000
Rollo I, Williams C, Gant N, Nute M (2008) The influence of carbohydrate mouth rinse on self-selected speeds during a 30-min treadmill run. Int J Sport Nutr Exerc Metab 18:585–600
Rollo I, Cole M, Miller R, Williams C (2010) Influence of mouth rinsing a carbohydrate solution on 1-h running performance. Med Sci Sports Exerc 42:798–804. https://doi.org/10.1249/MSS.0b013e3181bac6e4
Rollo I, Homewood G, Williams C et al (2015) The influence of carbohydrate mouth rinse on self-selected intermittent running performance. Int J Sport Nutr Exerc Metab 25:550–558. https://doi.org/10.1123/ijsnem.2015-0001
Rolls ET (2007) Sensory processing in the brain related to the control of food intake. Proc Nutr Soc 66:96–112. https://doi.org/10.1017/s0029665107005332
Sawka MN, Burke LM, Eichner ER et al (2007) American College of Sports Medicine position stand. Exercise and fluid replacement. Med Sci Sports Exerc 39:377–390. https://doi.org/10.1249/mss.0b013e31802ca597
Sharwood KA, Collins M, Goedecke JH et al (2004) Weight changes, medical complications, and performance during an Ironman triathlon. Br J Sports Med 38:718–724. https://doi.org/10.1136/bjsm.2003.007187
Sinclair J, Bottoms L, Flynn C et al (2014) The effect of different durations of carbohydrate mouth rinse on cycling performance. Eur J Sport Sci 14:259–264. https://doi.org/10.1080/17461391.2013.785599
Svebak S, Murgatroyd S (1985) Metamotivational dominance: a multimethod validation of reversal theory constructs. J Pers Soc Psychol 48:107
Takamata A, Mack GW, Gillen CM et al (1995) Osmoregulatory modulation of thermal sweating in humans: reflex effects of drinking. Am J Physiol 268:R414–R422
Torrens SL, Areta JL, Parr EB, Hawley JA (2016) Carbohydrate dependence during prolonged simulated cycling time trials. Eur J Appl Physiol 116:781–790. https://doi.org/10.1007/s00421-016-3333-y
Tsintzas K, Williams C (1998) Human muscle glycogen metabolism during exercise. Effect of carbohydrate supplementation. Sports Med 25:7–23
Turner CE, Byblow WD, Stinear CM, Gant N (2014) Carbohydrate in the mouth enhances activation of brain circuitry involved in motor performance and sensory perception. Appetite 80:212–219. https://doi.org/10.1016/j.appet.2014.05.020
van Nieuwenhoven MA, Brouns F, Kovacs EM (2005) The effect of two sports drinks and water on GI complaints and performance during an 18-km run. Int J Sports Med 26:281–285. https://doi.org/10.1055/s-2004-820931
Wright BF, Davison G (2013) Carbohydrate mouth rinse improves 1.5 h run performance: is there a dose-effect? Int J Exerc Sci 6:328–340
Acknowledgements
Harris Kamal Kamaruddin is thankful to Universiti Teknologi MARA Malaysia and the Ministry of Higher Education of Malaysia for his Ph.D. scholarship. The authors thank all runners who took part in this study and all technical staff members of the Advanced Medical and Dental Institute, Universiti Sains Malaysia.
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HKK, OCH and AMCM conceived and designed research. HKK and AMCM conducted experiments. HKK and TM analyzed data. HKK and AMCM wrote the manuscript. All authors provided comments to the manuscript after proofreading and finally approved the manuscript.
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All procedures were performed in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Kamaruddin, H.K., Ooi, C.H., Mündel, T. et al. The ergogenic potency of carbohydrate mouth rinse on endurance running performance of dehydrated athletes. Eur J Appl Physiol 119, 1711–1723 (2019). https://doi.org/10.1007/s00421-019-04161-2
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DOI: https://doi.org/10.1007/s00421-019-04161-2